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General NPI Number Information
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NPI Number | 1356969687
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Entity Type | Organization
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Legal Business Name | ALDEN ESTATES-COURTS OF HUNTLEY, INC.
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 12140B REGENCY PKWY
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City | HUNTLEY
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State | IL
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Zip | 60142-7554
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Country | US
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Telephone | 847-961-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 W PETERSON AVE STE 140
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City | CHICAGO
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State | IL
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Zip | 60646-6819
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Country | US
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Telephone | 773-724-6700
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOAN CARL
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Credential |
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Telephone | 773-286-3883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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